JEFFERSON TRAIL TREATMENT CENTER FOR CHILDREN (NPI# 1740245117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740245117 |
| Entity Type | Organization |
| Organization Name | JEFFERSON TRAIL TREATMENT CENTER FOR CHILDREN |
| Other Organization Name | JEFFERSON TRAIL TREATMENT CENTER FOR CHILDREN |
| Practice Address |
2101 Arlington Blvd Charlottesville VA 22903-1521 |
| Practice Telephone | 8007778855 |
| Practice Fax Number | 7037777147 |
| Mailing Telephone | 8007778855 |
| Mailing Fax Number | 7037777147 |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2010-09-08 |
| Authorized Official Name | SARA CROWLEY (BUSINESS OFFICE DIRECTOR) |
| Authorized Official Telephone | 8007778855 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 283Q00000X | Psychiatric Hospital | 63014001 | VA | Hospitals |
| Other Name | Type Code |
|---|---|
| JEFFERSON TRAIL TREATMENT CENTER FOR CHILDREN | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922395748 | Jefferson Trail Treatment Center for Children | Psychiatric Residential Treatment Facility | 2101 Arlington Blvd, Charlottesville, VA 22903-1521 | 2011-06-30 |
| Street Address |
2101 ARLINGTON BLVD |
| City | CHARLOTTESVILLE |
| State | VA |
| Zip Code | 22903-1521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922395748 | Jefferson Trail Treatment Center for Children | Psychiatric Residential Treatment Facility | 2101 Arlington Blvd, Charlottesville, VA 22903-1521 | 2011-06-30 |
| 1740587062 | James Harris | Social Worker | 2101 Arlington Blvd, Charlottesville, VA 22903-1521 | 2011-02-23 |
| 1659602910 | Timothy Rambo | Counselor | 2101 Arlington Blvd, Charlottesville, VA 22903-1521 | 2010-01-26 |
| 1275786758 | Francesca Lomonaco | Social Worker | 2101 Arlington Blvd, Charlottesville, VA 22903-1521 | 2008-10-29 |
| 1487747572 | Julie Roebuck | Registered Nurse | 2101 Arlington Blvd, Charlottesville, VA 22903-1521 | 2006-10-02 |
| 1023060324 | Victoria Harper | Counselor | 2101 Arlington Blvd, Charlottesville, VA 22903-1521 | 2006-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326671009 | Ticynn Symone London | Specialist/Technologist | 723 Retriever Run, Ticynn London, Charlottesville, VA 22903 | 2020-02-20 |
| 1043853542 | Elaine Mccall | Dietitian, Registered | 1335 Jefferson Park Ave, Charlottesville, VA 22903 | 2019-10-28 |
| 1205480753 | Sean Robert Bennett | Clinic/Center | 433 Ednam Drive, Charlottesville, VA 22903 | 2019-08-01 |
| 1922562818 | Lynn Owen Taggart | Student in an Organized Health Care Education/Training Program | 300 Grassmere Rd, Charlottesville, VA 22903 | 2019-01-25 |
| 1831636166 | Sarah Michelle Richin | Social Worker | 709 A West Main St, Charlottesville, VA 22903 | 2017-01-25 |
| 1962868851 | Kelly Stewart Maurer | Counselor | 3101 Fontaine Avenue, Charlottesville, VA 22903 | 2016-01-07 |
| 1831592039 | Bearley Dental PC | Dentist | 901 Preston Ave, Suite 200, Charlottesville, VA 22903 | 2014-10-01 |
| 1730437823 | Frances Eva Demmerle | Neuromusculoskeletal Medicine & OMM | 1149 Rose Hill Dr., Charlottesville, VA 22903 | 2012-08-21 |
| 1801142229 | University of Virginia | General Acute Care Hospital | 1925 Beechcrest Court, Charlottesville, VA 22903 | 2012-08-03 |
| 1407123516 | Laura P. Handler | Counselor | 500 Old Lynchburg Rd., Region Ten Csb, Charlottesville, VA 22903 | 2011-11-18 |
| Find all providers in zip 22903 | ||||
| Taxonomy Code | 283Q00000X |
| Grouping | Hospitals |
| Classification | Psychiatric Hospital |
| An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |
| Notes: Source: Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780044628 | Northspring Behavioral Healthcare Inc | Psychiatric Hospital | 42049 Victory Lane, Leesburg, VA 20176 | 2016-03-04 |
| 1710021803 | Piedmont Geriatric Hospital | Psychiatric Hospital | 5001 East Patrick Henry Highway, Burkeville, VA 23922-0427 | 2007-02-20 |
| 1124051701 | Hhc Poplar Springs LLC. | Psychiatric Hospital | 350 Poplar Dr, Petersburg, VA 23805-9367 | 2006-07-08 |
| 1326071093 | First Hospital Corporation of Virginia Beach | Psychiatric Hospital | 1100 First Colonial Rd, Virginia Beach, VA 23454-2403 | 2006-07-08 |
| 1003853185 | Virginia Psychiatric Company Inc | Psychiatric Hospital | 2960 Sleepy Hollow Rd, Falls Church, VA 22044-2030 | 2006-05-31 |
| 1912951369 | Commonwealth Center for Children and Adolescents | Psychiatric Hospital | 1355 Richmond Ave, Staunton, VA 24401-9146 | 2006-05-20 |
| 1346205069 | Commonwealth of Virginia Western State Hospital | Psychiatric Hospital | 1301 Richmond Road, Staunton, VA 24401-9146 | 2006-04-18 |
| 1790785053 | Northern Virginia Mental Health Institute | Psychiatric Hospital | 3302 Gallows Rd, Falls Church, VA 22042-3353 | 2005-07-28 |
| 1427436997 | Harbor Point Behavioral Health Center Inc | Psychiatric Hospital | 860 Kempsville Rd, Norfolk, VA 23502-3920 | 2015-05-15 |
| 1083957518 | Kaiser Permanente | Psychiatric Hospital | 8008 Westpark Dr, Mc Lean, VA 22102-3109 | 2013-04-03 |
| Find all providers with the same taxonomy | ||||
| City | CHARLOTTESVILLE |
| Zip Code | 22903 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.